Wan prɔblɛm we bɔku pipul dɛn gɛt na dis bɔn we de bɔn na dɛn bɛlɛ , bɔn na dɛn chɛst . Sɔntɛnde afta yu dɔn it, i kin tan lɛk se i de kam dɔŋ di trot, lɛk se i gɛt sɔl teys. Tide wi de tɔk bɔt wan kɔndishɔn wae kin kam wit dis. Dat na Hiatal Ɛnia. Sɔntɛm yu dɔn yɛri dis nem. Lɛ wi si wetin i simpul.
Fɔ tɔk am simpul wan, wetin na hiatal hεnia?
Imajin se wan wɔl de we dɛn mek wit mɔsul bitwin wi chɛst ɛn wi bɛlɛ. Wi kin kɔl dis di dayafragm . I tan lɛk wan wɔl we de sheb tu rum dɛn. di it we wi de it de kכmכt na di trot to di bεlε along di it paip ( εsophagus ). fכ kכmכt frכm di chεst to di bεlε, dis fכd paip fכ pas tru da big dayafragm de. Wan smɔl ol de insay de. Dɛn kɔl dis ol di hiatus.
Hiatal hεnia na we wan pat pan yu bεlε de push כp tru di ol na yu bεlε, tכwεd yu chεst. I tan lɛk se we bɔtin we de na di shirt tu big, di bɔtin kin kɔmɔt izi wan.
Wetin na di sayn dɛm fɔ hiatal hεnia?
De amazing tin na dat bɔrku pipul wae gɛt hiatal hernia nɔr kin sho ɛni symptom. Bɔt sɔm pipul dɛn kin gɛt dɛn sik ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Bɛlɛ de at/chɛst pen | Dis na di sayn wae kin kam pan pɔrsin. dis bכn sεns de kכz bay we di bεlε asid de kam כp (Acid Reflux). Wi kin kɔl dis kɔndishɔn bak Gastroesophageal Reflux Disease (GERD). |
| Ɔda tin dɛn we de apin |
|
| Imejɛnsi sityueshɔn dɛn we nid fɔ gɛt dɔktɔ advays kwik kwik wan! | |
| Simptom dɛm fɔ wan Strangulated Hernia | Dis na tin we rili denja. Wan pat pan di bɛlɛ kin stɔp na di ol, ɛn dis kin mek di blɔd nɔ go insay am. If dis kin apin, yu kin gɛt dɛn sayn ya:
If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. |
Wetin mek dis hiatal hεnia kin apin?
Bɔku tɛm i nɔ kin izi fɔ no wan patikyula rizin fɔ dis, bɔt a tink se dɛn tin ya kin de ɛp:
- Fɔ gɛt big opin we dɛn bɔn pikin: Sɔm pipul dɛn kin bɔn wit wan ol we dɛn kɔl hiatus we big smɔl pas aw i kin bi.
- We yu de ol: As yu de ol, di mɔsul dɛn na yu dayafragm kin wik.
- Prɛshɔn we de insay di bɛlɛ we de go ɔp: Tin dɛn lɛk fɔ kɔf fɔ lɔng tɛm, fɔ es ebi ebi tin, ɛn fɔ strɛs tumɔs we yu de go na tɔylɛt kin mek di prɛshɔn we de insay di bɛlɛ go ɔp ɛn push di bɛlɛ ɔp.
- Fat: As di bɔdi de wet, di prɛshɔn pan di bɛlɛ de go ɔp.
- Injury: Ɛni injuri na da eria de.
Udat de pan denja fɔ gɛt dis sik?
- Fɔ di wan dɛn we fat pasmak
- Fɔ di wan dɛn we dɔn pas 50 ia
- Fɔ mama dɛn we gɛt bɛlɛ
- Fɔ di wan dɛn we de smok ɔ we de it tabak
Aw yu go fɛn dis, Dɔktɔ?
Yu dɔktɔ kin jɔs no se yu gɛt ɛnia we yu de gɛt sɔm sayn dɛn lɛk bɛlɛ pen. Fɔ kɔnfirm dis, dɛn kin du wan ɔ mɔ pan dɛn tɛst ya:
1. Barium Swallow: Insay dis tɛst, yu kin drink wan wata we gɛt wan kemikal we dɛn kɔl barium ɛn afta dat yu kin tek ɛkstrem rayt. di barium de mek yu εsophagus εn bεlε de klia wan pan di εks-ray.
2. Ɛndoskopi: .Insay dis, dɛn kin put wan tin tiub we gɛt kamɛra we dɛn tay dɔŋ yu trot ɛn dɛn kin chɛk di insay pat pan yu εsophagus ɛn bɛlɛ.
3. Esophageal Manometry: Dis de mכsu di prεshכn insay di εsophagus we yu de sכlow.
4. pH Tεst: dεn de put wan sכmכl kapsul insay di fכd tכb εn dεn de mכsu yu asid lεvεl fכ lεk 48 awa. Dis kapsul nɔ nid fɔ pul am, i go kɔmɔt insɛf ɛn pas wit yu stɔl.
Aw dɛn kin trit hiatal hεnia?
If yu gɛt tritmɛnt ɔ yu nɔ gɛt tritmɛnt, i go dipen pan if yu gɛt di sik ɛn aw dɛn tranga.
If yu nɔ gɛt ɛni sayn, yu dɔktɔ kin se yu nɔ fɔ du natin fɔ naw ɛn wach di tin we de apin ("Watchful waiting").
If sɔm sayn dɛn de, tritmɛnt dɛn de lɛk:
Mɛrɛsin dɛn (drɔg dɛn) .
Mεdikeshכn nכ kin kכl εnia, bכt dεn kin rεdכks di sayn dεm bay we dεn kכntrכl di bεlε asid.
- Antasid: Dɛn kin mek di bɛlɛ asid wik.
- Proton Pump Inhibitors כ H2 Receptor Blockers: I de ridyus di prodakshכn fכ asid na di bεlε.
- Prokinetics: Dɛn de mek di mɔsul dɛm na di εsophagus strɔng ɛn ɛp fɔ stɔp asid fɔ kam ɔp.
Ɔpreshɔn
Sɔntɛnde, i kin nid fɔ du ɔpreshɔn. Dis kin bi we:
- If dɛn nɔ ebul fɔ kɔntrol di sik wit mɛrɛsin ɛn chenj dɛn layf.
- If di sayd ɛfɛkt dɛm fɔ di mɛrɛsin at fɔ bia.
- If di hεnia rili big.
Bɔku tɛm, dis nɔto ɔpreshɔn we dɛn kin du wantɛm wantɛm. Dɛn kin du am tru wan kihol (laparoskopi). Dis min se dɛn fɔ kɔt sɔm smɔl smɔl tin dɛn na di bɛlɛ ɛn du di ɔpreshɔn wit di ɛp we dɛn de yuz kamɛra. Dis kin mek i wɛl kwik kwik wan ɛn i nɔ kin gɛt bɔku skata. Yu go nid fɔ de na ɔspitul fɔ wan ɔ tu dez afta dɛn dɔn du di ɔpreshɔn. I kin tek tu to siks wik fɔ mek i wɛl.
Us chenj dɛn yu nid fɔ chenj yu layf?
Di men tin we kin mek pɔsin gɛt hεnia na we i gɛt pasmak wet. So, i rili impɔtant fɔ kɔntrol yu wet.
- Ridyus di amount we yu de it: It smɔl smɔl, nɔ it bɔku wan tɛm.
- Ridyus it dɛn we gɛt bɔku fat: Ridyus krim sos, it dɛn we gɛt ɔyl, ɛn it dɛn we dɛn pak (lɛk chips).
- It dina ali: It dina 3-4 awa bifo yu go slip. Nɔ ledɔm fɔ sɔm tɛm afta yu dɔn it.
- Kip yu ed ɔp smɔl we yu de slip: Slip wit wan ɔ tu pilo. Dis go mek di asid we de kam ɔp nɔ bɔku.
- Stɔp fɔ smok: Smok kin mek dis sik wɔs.
- No di it dɛn we nɔ fayn fɔ yu:If sɔm it dɛn (poyzin it, chɔklɛt, sitrus frut, kɔfi) de mek di sik wɔs, nɔ it dɛn.
I nɔr fayn fɔ tek mɛrɛsin dɛm wae nɔr de na kɔt lɛk antasid. If yu du dat, dat kin pwɛl yu kidni dɛn. If i nɔ izi fɔ kɔntrol yu sik dɛn, mek shɔ se yu tɔk to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Hiatal hεnia na wan kכndyushכn we pat pan di bεlε de push כp insay di chεst. Dis na wan sik we kin rili kɔmɔn.
- Bɔrku pipul dɛn nɔr kin gɛt ɛni sayn. If dɛn du dat, di men sayn na di at we de bɔn ɛn asid we de kam bak.
- Di chenj na yu layf (we yu de lɔs yu wet, yu de kɔntrol yu it, yu nɔ de smok) bɔku pan yu kin kɔntrol di sayn dɛm.
- If de sik de mɔna yu, go to dɔktɔ fɔ tritmɛnt.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen wantɛm wantɛm, we yu de fil bad bad wan na yu chɛst ɔ yu bɛlɛ, yu de vɔmit, ɔ yu nɔ ebul fɔ pul dɔti, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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